<<

FURNITURE WARRANTY/REPAIR FORM

FORM MUST BE FILLED OUT COMPLETELY: In order that we may process your request in an accurate and timely manner, please complete this form in full. We cannot process your request without all necessary information. If the Warranty/Repair Form is not completed in its entirety, it will be returned for further information.

* * * ALL FORMS MUST INCLUDE 2 TO 3 PHOTOGRAPHS OF THE DAMAGE (See Pg. 5) * * * * * * TRANSPORTATION COSTS NOT COVERED UNDER WARRANTY * * *

CUSTOMER INFORMATION:

Customer Name: ______Delivery Date: ______

Customer Address: ______

City: ______State: ______ZIP: ______

Phone: ______Cell Phone: ______

Email Address: ______

Location of Store of Purchase: ______

Sales Order Number: ______

DESCRIPTION OF PROBLEM: ______

PLEASE SEND FORMS TO STORE OF PURCHASE. CONTACT INFORMATION FOR ALL LOCATIONS ARE ON PAGE 4.

PAGE 1 FURNITURE WARRANTY/REPAIR FORM

SOFA | LOVESEAT | CONSOLE SOFA

Circle problem areas and describe kind of damage: ______RECLINER | SECTIONAL | CHAISE SECTIONAL

Circle problem areas and describe kind of damage: ______Circle problem areas and describe kind of damage: ______

ACCENT | OTTOMAN | CHAISE | OTHER (PLEASE SKETCH)

Circle problem areas and describe kind of damage: ______Circle problem areas and describe kind of damage: ______

Internal components or additional comments: ______

PAGE 2 FURNITURE WARRANTY/REPAIR FORM

DRESSER | | | FRAME

Circle problem areas and describe kind of damage: ______Circle problem areas and describe kind of damage: ______

BUFFETT/HUTCH | DINING | COCKTAIL TABLE | END TABLE

Circle problem areas and describe kind of damage: ______Circle problem areas and describe kind of damage: ______

DINING CHAIR | OTHER (PLEASE SKETCH)

Circle problem areas and describe kind of damage: ______PAGE 3 FURNITURE WARRANTY/REPAIR FORM

ARKANSAS CONWAY HOT SPRINGS LITTLE ROCK RUSSELLVILLE 800 Museum Road 3926 Central Avenue 1000 South Bowman Rd. 2609 E. Parkway Conway, AR 72032 Hot Springs, AR 71913 Little Rock, AR 72211 Russellville, AR 72802 501-329-7011 501-624-7412 501-954-7130 479-967-9984 [email protected] [email protected] [email protected] [email protected]

FORT SMITH JONESBORO SEARCY 7434 Rogers Avenue 1808 Highland 401 South Poplar Street Fort Smith, AR 72903 Jonesboro, AR 72401 Searcy, AR 72143 479-646-6631 870-931-0324 501-268-6606 [email protected] [email protected] [email protected]

HARRISON NORTH LITTLE ROCK ROGERS 1211 Hwy 62-65 5704 Warden Road 4308 Pleasant Crossing Blvd. Harrison, AR 72601 North Little Rock, AR 72120 Rogers, AR 72756 870-517-5240 501-834-1454 479-631-7632. [email protected] [email protected] [email protected]

TEXAS ALABAMA FLORIDA

TEXARKANA MOBILE DESTIN PENSACOLA 502 Walton Drive 850 Schillinger Road South 36000 Emerald Coast Pkwy 6320 North Davis Hwy Texarkana, TX 75501 Mobile, AL 36695 Destin, FL 32541 Pensacola, FL 32504 903-223-9844 251-635-1450 850-837-6618 850-478-4966 [email protected] Fax: 850-837-4718 [email protected] [email protected] [email protected] PANAMA CITY SPANISH FORT 1804 West 23rd Street 30810 State Hwy 181 Panama City, FL 32405 Spanish Fort, AL 36527 850-522-9189 251-263-6900 [email protected] [email protected]

PAGE 4 FURNITURE WARRANTY/REPAIR FORM

PLEASE ATTACH 2 TO 5 PHOTOS Photo requirements to help us process your claim efficiently.

PHOTO #1: Please include one picture of the entire piece of furniture.

PHOTO #2: Please include one clear close up picture of the damage. (You may include more pictures if damage is in multiple places)

PHOTO #3: Please include one picture of the manufacturer’s I.D. tag (usually located on the back or bottom of the piece).

OTHER PHOTOS: Information: You may include more than 3 photos to show the extent or different angles of the damage.

ALL FORMS MUST INCLUDE PHOTOGRAPHS OF THE DAMAGE.

PAGE 5